RT Journal Article SR Electronic T1 Maladaptive coping strategies and neuroticism mediate the relationship between 5HTT-LPR polymorphisms and symptoms of anxiety in elite athletes JF bioRxiv FD Cold Spring Harbor Laboratory SP 493320 DO 10.1101/493320 A1 Mario Altamura A1 Salvatore Iuso A1 Giovanna D’Andrea A1 Francesca D’Urso A1 Carla Piccininni A1 Eleonora Angelini A1 Francesco Sessa A1 Maurizio Margaglione A1 Caterina Padulo A1 Beth Fairfield A1 Annamaria Petito A1 Antonello Bellomo YR 2018 UL http://biorxiv.org/content/early/2018/12/14/493320.abstract AB Previous studies have suggested that genetic factors, personality traits and coping strategies might play independent and interacting roles in influencing stress-related anxiety symptoms. The aim of this study was to examine whether Neuroticism and maladaptive coping strategies mediate the association between the serotonin transporter gene-linked polymorphic region (5HTT-LPR) and symptoms of anxiety and depression in elite athletes who experience high levels of competitive stress. One hundred and thirty-three participants were genotyped for the 5-HTTLPR polymorphism and then asked to complete the Cope Orientation to Problems Experienced Inventory and the NEO Five-Factor Inventory. A path analysis was used to test the aforementioned hypothesis. The 5HTT-LPR was significantly associated with Neuroticism, the coping strategy of Focus on and Venting of Emotions’ (FVE) and symptoms of anxiety. FVE and Neuroticism mediated the association between the 5HTT-LPR and symptoms of anxiety (i.e., Cognitive Anxiety and Emotional Arousal Control). Also, Neuroticism was a mediator of the association between the 5HTT-LPR and FVE. Finally, FVE also mediated effects on the relationship between Neuroticism and symptoms of anxiety. Results suggest that the 5HTT-LPR may affect the susceptibility to develop symptoms of anxiety in elite athletes indirectly through mediation by FVE and Neuroticism.